extent of accumulation [NCA / SHAM]

posted by ElMaestro  – Denmark, 2010-01-13 21:47 (5594 d 16:42 ago) – Posting: # 4607
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Dear Martin,

❝ Accumulation (e.g. higher AUC after repeated than after first administration) occurs when the dosing interval is "too short" with respect to the half-life of the compound investigated. On the other hand, an increase in drug exposure after repeated dosing may be due to damage to the eliminating organs and subsequent reduction in clearance which may indicate a safety concern.


Sorry, I once again failed to explain my question. You mentioned "accumulation in steady state conditions"; this challenged my walnut-sized brain when I read it as I generally understand steady state as the state where accumulation is absent.

Re. Q1: I think the equation is to be used mainly in case you have reason to expect a monophasic elimination of first order. Hence, applying it to a system with two elimination constants could be disputable. However, using the terminal constant for the purpose would be the conservative approach in a regulators view, I expect. Simulations might help you a good piece of the way.

EM.

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